| Marian J Skolarz, M.d., S.c. | |
|
7447 W Talcott Ave Suite 366 Chicago IL 60631-3745 | |
| (773) 594-1410 | |
| (773) 774-1402 |
| Full Name | Marian J Skolarz, M.d., S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7447 W Talcott Ave, Chicago, Illinois |
| Authorized Official Name and Position | Marian Jerzy Skolarz (DOCTOR) |
| Authorized Official Contact | 7735941410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian J Skolarz, M.d., S.c. 7447 W Talcott Ave Suite 366 Chicago IL 60631-3745 Ph: (773) 594-1410 | Marian J Skolarz, M.d., S.c. 7447 W Talcott Ave Suite 366 Chicago IL 60631-3745 Ph: (773) 594-1410 |
| NPI Number | 1144547118 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 12/18/2020 |
| Medicare PECOS PAC ID | 7719011816 |
|---|---|
| Medicare Enrollment ID | O20100811000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144547118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-085369 (Illinois) | Primary |
| Provider Name | Marian Jerzy Skolarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487764163 PECOS PAC ID: 0648304741 Enrollment ID: I20100811000389 |
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